Volume 21 - Issue 10 - October 2008
Technology In Practice »
There is no shortage of conditions in the lower extremity that may necessitate the use of anti-inflammatory drugs. Given potential polypharmacy issues for many patients, physicians may be leery of utilizing systemic options and favor topical formulations for combating acute and chronic inflammation.
With the introduction of Ibunex™ and Gluconex™ Muscle and Joint Therapy, physicians now have two additional modalities to target inflammation and its underlying cause, according to the manufacturer Core Products Laboratories, Inc.
New Products »
New Options For Healing Damaged Skin
Podiatrists may have two new options in their dermatology armamentarium.
Kerol Emulsion and Kerol ZX can help promote healing of hyperkeratotic conditions such as psoriasis, xerosis and eczema, according to the manufacturer PharmaDerm.
The company notes that physicians can also use the Kerol products to treat dry skin and damaged nails.
PharmaDerm says the Kerol products contain zinc undecylate and lactic acid, which gently dissolve the intercellular matrix andRead the full story »
Dermatology Diagnosis »
Key Questions To Consider
1. What essential question does one still need to ask to help make the diagnosis?
2. What is the tentative diagnosis?
3. Can you list at least three differential diagnoses?
4. What features in this condition differentiate it from other conditions?
5. What is the suitable treatment of this condition?
A 26-year-old African-American female presents with thickening of the skin on the soles and sides of her feet as well as discoloration on two of her toes. She says the discoloration and thickening started eight years ago and has slowly become worse over time.
Orthotics Q&A »
Given the variety of conditions one sees in practice and the challenge of ensuring optimal results with orthoses, expert panelists offer their take on utilizing orthotic modifications for different case presentations.
Q: What modifications would you make for a patient who has flexible forefoot valgus, excessive midstance and propulsive phase pronation?
A: As Richard Blake, DPM, notes, a flexible forefoot valgus pronates late in the gait cycle because it initially supinates in contact phase. He emphasizes that control of this foot primarily depends on four factors. The first factor is
Diabetes Watch »
Ankle fractures in patients with diabetes present a great challenge for the foot and ankle surgeon. Indeed, there is an abundance of literature documenting the difficulty of managing diabetic ankle fractures. Surgical treatment can be fraught with complications such as delayed bone and wound healing, and the development of Charcot neuroarthropathy.
When it comes to treating diabetic ankle fractures, complication rates are high, especially in patients with neuropathy. One reason for this is the altered osteogenesis in patients with diabetes in comparison to that of people without diabetes.
News and Trends »
A decline in the number of graduating podiatric medical students combined with increasing demand for podiatric services could result in a shortage of DPMs, according to a recent study in the Journal of the American Podiatric Medical Association (JAPMA).
Study authors note that since the late 1990s, podiatric medical schools have experienced a decline in the number of applications, resulting in a decreased number of DPMs per capita in the United States. The study notes that the number of DPM graduates must increase “dramatically” or the supply of podiatrists will not keep up with the de
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